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HATTIESBURG ROAD DENTAL, P.C.
NPI 1689864662
Dentist - General Practice in Jackson, MS

Active since July 26, 2007
989 ELLIS AVE, JACKSON, MS 39209(678) 904-5665(678) 904-5666 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 27, 2026, Jan 10, 2019 (2 updates tracked since 2019).

About Hattiesburg Road Dental, P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HATTIESBURG ROAD DENTAL, P.C. (NPI 1689864662), doing business as Sunnybrook Dentistry, is a healthcare organization registered as a general practice in Jackson, Mississippi and active in the NPI registry since July 2007. The organization lists Dale G Mayfield, Owner, as its authorized official.

NPPES Registry Identity

NPI1689864662
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameHATTIESBURG ROAD DENTAL, P.C.
Location Address989 ELLIS AVEJackson, MS 39209-6256
Mailing Address210 Interstate North Pkwy Se Ste 300Atlanta, GA 30339-2233 · (770) 916-5028 · Fax (678) 247-7858
Phone(678) 904-5665
Fax(678) 904-5666
Organization SubpartNo
Authorized OfficialDale G MayfieldOwner · (770) 916-5036
Enumeration DateJuly 26, 2007
Last NPPES UpdateApril 27, 20262 updates tracked since enumeration
NPPES CertifiedApril 27, 2026
✔ NPI 1689864662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDentist · EndodonticsTaxonomy 1223E0200X
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X
989 ELLIS AVE, Jackson, MS 39209
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Other Names 2

Doing Business AsSunnybrook Dentistry
Doing Business AsSunnybrook Dentistry & Braces

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RICHARD NELSON SMITH DMD
Dentist (General Practice)
989 ELLIS AVE
JACKSON, MS 39209
Hinds County (601) 354-3557
DR. DIVIJA TAKKALAPELLY
Dentist (Orthodontics and Dentofacial Orthopedics)
989 ELLIS AVE
JACKSON, MS 39209
Hinds County (769) 235-3019
MELANIE PAIGE-BROWN
Dentist (General Practice)
989 ELLIS AVE
JACKSON, MS 39209
Hinds County (601) 354-3557
AUDREY LEE FORTIN DMD
Dentist (General Practice)
989 ELLIS AVE
JACKSON, MS 39209
Hinds County (769) 235-3919

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hattiesburg Road Dental, P.C.'s NPI number?

The NPI number for Hattiesburg Road Dental, P.C. is 1689864662. It was assigned to this organization in the NPPES registry on July 26, 2007. The provider is doing business as Sunnybrook Dentistry and Sunnybrook Dentistry & Braces.

Where is Hattiesburg Road Dental, P.C. located?

Hattiesburg Road Dental, P.C. is located at 989 Ellis Ave, Jackson, MS 39209. The listed phone number is (678) 904-5665.

What is Hattiesburg Road Dental, P.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Hattiesburg Road Dental, P.C. accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee list Hattiesburg Road Dental, P.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Hattiesburg Road Dental, P.C. was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.